Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with Veronica Morales, Administrator. LPA stated that the reason for today's inspection is to issue an amended report for complaint findings delivered on January 29, 2025 (complaint # 59-AS-20241014152140). Also discussed during today's inspection was how resident (R1) continues to fall and was last sent out yesterday, November 3, 2025, for a medical evaluation.

LPA was provided with an incident report (LIC624) from when (R1) fell on October 29, 2025 (10:26 am) in the hallway. Resident was crying extensively and exhibiting a behavioral expression. Resident was sent out for further medical evaluation due to complaining of neck pain.

LPA reviewed a second incident report from when (R1) fell on November 3, 2025 (11:40 am). Resident had an unwitnessed fall in the hallway near the South Dining room and was sent out for further medical evaluation. (R1) returned the same day with a diagnosis of a ground level fall and hamaturia. Staff will continue to be closely monitored for (48) hours. A new medication, Keflex 500, was prescribed to be taken every 6 hours for 5 days.

(R1) had a follow up appointment scheduled today, November 4, 2025. Seroquel 50mg was discontinued but the scheduled dosage of Seroquel 25mg was not changed. Also discontinued was Gabapentin 100 mg. Facility staff will continue to monitor (R1) 4x/shift and report any changes in condition to the primary care physician and plan to schedule a care meeting with them.

There are no deficiencies issued in this report. Exit interview. Copy of report provided.